Individualized, family-centered care.

Concierge Midwifery

Care for those planning a hospital birth while still seeking the intimate, personalized support of community midwives.

Home birth is a great option for individuals interested in birthing outside the hospital system, but it may not be right for everyone. If you plan on birthing in a hospital, we offer comprehensive concierge midwifery to complement your obstetric care.

With this model, you’ll receive customized relationship-based prenatal care, coordination and support for your hospital birth, and continued postpartum care at home. This service offers personalized, compassionate midwifery care paired with the resources of a hospital, ensuring your birth plan and preferences are honored while maintaining safety and comfort throughout your journey.

Midwife Veege Ruediger weighing a newborn baby at home, ensuring a calm and supportive environment for families.

Who is it for?

There are many reasons why a birthing person may plan to have their baby in the hospital but choose prenatal and postpartum care outside the traditional medical model. This option might be right for you if:

  • You feel safest giving birth in a hospital but want longer appointments focusing on emotional support and education in addition to your medical well-being.

  • Your insurance covers prenatal and postpartum care but does not cover a home birth.

  • You want an epidural during labor.

  • There is an indication that a hospital birth will be the safest option for you or your baby.

Concierge Packages

Monitrice Care

Homebirth-style midwifery care with a plan to transfer to the hospital for delivery.

  • Our monitrice services offer a unique blend of clinical support and doula care for families planning a hospital birth but desiring the comfort and familiarity of home during early labor. A monitrice is a midwife who can provide medical assessments and clinical care at home, helping you determine the best time to transition to the hospital.

    Monitrice services are ideal for individuals who:

    • Want to labor at home as long as possible before heading to the hospital.

    • Desire clinical assessments such as cervical checks and fetal heart rate monitoring at home.

    • Prefer a seamless transition from home to hospital with continuous support from a familiar care provider.

    • Are looking for comprehensive emotional, physical, and medical support during early labor at home.

    • Two Prenatal Appointments: Two 60-90 minute prenatal appointments to get to know you and any support persons or partners who plan to be present during your labor at home. We will use this time to discuss your birth plan and preferences as well as any concerns or questions you may have leading up to your birth in the hospital.

    • Home Labor Support: Clinical assessments and support during early labor at home. This includes monitoring vital signs, checking cervical dilation, and assessing fetal heart rate to ensure you and your baby are progressing well.

    • Guidance on Hospital Transfer: Assistance in determining the optimal time to transfer to the hospital, ensuring a smooth and timely transition.

    • Continuous Support: Continuous physical, emotional, and medical support throughout your labor at home.

    • 24/7 On-Call Availability: We are on-call 24/7 from 37 weeks until birth to ensure you have the support you need at any time.

    • Postpartum Visits: Two postpartum visits to assist with feeding, process your birth (if desired), and help with the transition into life with your new little one.

    • Tub Rental Option: Option to rent a tub for laboring at home before heading to the hospital, providing additional comfort and support during early labor.

The Works

Complete prenatal and postpartum care for those planning a hospital birth.

  • Our comprehensive prenatal and postpartum care package provides in-depth, hour-long appointments where we cover your baby’s growth, changes in your body, and any concerns you have. We review screening results, discuss your birth plan, and ensure you feel emotionally supported. Our team collaborates closely with hospital-based providers for labs, ultrasounds, and any needed consultations to ensure continuity of care. Postpartum support includes guidance on feeding, sleep, and adjusting to life with a new baby, all in a safe and supportive environment. We empower you with thorough information, covering topics like doula support, birth plans, and recovery to make you an expert in your own care.

    • Comprehensive Prenatal Care: Hour-long appointments that allow for in-depth discussions about your baby’s growth, changes in your body, and any concerns you may have. We thoroughly review screening results, discuss your birth plan, and ensure you feel emotionally supported.

    • Collaboration with Hospital-Based Providers: We have decades of experience working with hospital-based midwives, obstetricians, and perinatologists, ensuring continuity of care for our clients. We draw routine labs in-office and refer out for standard ultrasounds and genetic testing. Any abnormal screening results prompt immediate consultation with experts.

    • Postpartum Support: Continuation of care after your birth, with a focus on emotional and physical well-being. We provide support for feeding, sleeping, and adjusting to life with a new baby. Our postpartum visits are designed to offer space for emotionally safe care and to address any questions or concerns.

    • Comprehensive Education and Support: During our appointments, we provide a space for you to ask difficult questions and receive thorough responses. We aim to empower you with all the information you need to be the expert in your care, covering topics such as labor doula support, birth plans, and postpartum recovery.

    • Monitrice Services: For those who want clinical support at home before heading to the hospital, we offer monitrice services.

The First Month Home

In-home postpartum and newborn care following a hospital birth.

  • Your First Month Home is an in-depth package designed to help you set the foundation for a grounded and joy-filled postpartum experience.

    We’ll cover all the basics of postpartum and newborn care, from what to expect for feeding, how to care for your baby, and whether or not your bleeding is normal. We will support you in creating a secure attachment with your baby, while simultaneously prioritizing your mental health and well-being.

    • Five Home Visits: Comprehensive care during the initial month postpartum with five home visits to ensure you and your baby are thriving.

    • Emotional and Logistical Support: We hold space to discuss the emotional aspects of this big life transition and provide logistical support for your new routine.

    • Monitoring and Assessments: Regular checks of vital signs and overall wellness for both parent and baby. We perform lab tests, monitor for signs of infection, assess postpartum depression, and provide newborn screenings.

    • Feeding Support: Assistance with nursing, bottle feeding, and inducing or suppressing lactation. We help with latch, troubleshooting, weight checks, and establishing a feeding rhythm. We can also refer you to chiropractors, acupuncturists, and ENT specialists if needed.

    • Preventative Care: Advice on nutrition, herbal remedies, and complementary therapies to support your recovery and well-being.

    • In-Home Lab Testing: When necessary, we offer in-home lab testing and treatments.

    • Guidance for Support Persons: We provide guidance for partners and support persons to ensure they feel confident in their roles.

FAQs

  • Concierge midwifery and traditional OB care differ significantly in their approach to pregnancy, birth, and postpartum care, with concierge midwifery offering a more personalized, holistic, and flexible experience. Here’s a breakdown of the key differences:

    1. Length and Depth of Prenatal and Postpartum Visits

    • Concierge Midwifery: In concierge midwifery, prenatal and postpartum visits typically last around 60 minutes or more. These longer appointments allow for an in-depth discussion of not only physical health but also emotional, mental, and lifestyle aspects of pregnancy and postpartum recovery. The extended time allows for detailed birth planning, nutritional counseling, and personalized advice, creating a holistic approach to care. The midwives gets to know you on a deeper level, understanding your specific needs and preferences.

    • Traditional OB Care: In traditional OB care, prenatal and postpartum visits are often shorter, typically around 10-15 minutes. The focus is more on the medical aspects of care—monitoring physical health, checking vital signs, and addressing immediate concerns. Due to time constraints and the volume of patients, there may be less opportunity to discuss emotional well-being, birth preferences, or lifestyle factors in-depth.

    2. Continuity of Care and Integration with Hospital Providers

    • Concierge Midwifery: Concierge midwives typically offer continuity of care, which means the same small team of midwives provide care throughout pregnancy, birth, and postpartum. Even if you are planning a hospital birth, concierge midwives can integrate with hospital providers, ensuring that your midwife is involved in your care plan, attending appointments with hospital providers when needed, and advocating for your preferences. This integration allows for seamless collaboration between your midwife and hospital staff, balancing medical safety with personalized care.

    • Traditional OB Care: In traditional OB care, patients often see whichever doctor or healthcare provider is available for appointments. The person who manages your prenatal care may not be the same doctor attending your delivery, depending on the hospital’s staffing at the time. Continuity of care is less emphasized, and you may encounter different providers throughout your pregnancy and at delivery, leading to potential gaps in communication or understanding of your preferences.

    3. Referral Networks and Collaboration

    • Concierge Midwifery: Concierge midwives often have well-established referral networks, connecting clients with a range of holistic and medical professionals, including doulas, chiropractors, acupuncturists, lactation consultants, and specialists. We actively coordinate your care, ensuring that any additional services you require align with your personalized care plan.

    • Traditional OB Care: While traditional OBs may refer you to specialists, the referrals are often limited to medical professionals within their network. There may be less emphasis on alternative or holistic care options unless specifically requested by the patient. OBs are primarily focused on the medical management of pregnancy and birth, so their referral networks might not be as expansive in complementary care areas.

    4. Optional Birth Support

    • Concierge Midwifery: One of the key features of concierge midwifery is the option for your midwife to be present for the birth, even in a hospital setting. If you choose this option, your midwife acts as a supportive presence throughout labor and delivery, often in a doula-like role, while hospital staff manages the clinical aspects. This allows you to have a familiar, trusted person by your side who understands your birth plan and can advocate for your preferences during labor.

    • Traditional OB Care: In traditional OB care, the attending physician or OB team typically manages the clinical aspects of the birth. While OBs can be supportive of your preferences, they are often managing multiple patients and emergencies simultaneously. Support during labor may come from hospital nurses rather than the OB, and if you desire continuous emotional or physical support, you may need to hire a doula separately.

    5. Personalized Care Plans and Flexibility

    • Concierge Midwifery: Concierge midwifery offers the flexibility to tailor every aspect of your care to your unique needs. Your midwife works with you to create a personalized care package that can include prenatal education, birth planning, postpartum support, lactation guidance, and more. This high level of customization extends to birth preferences, including natural birth, medical interventions, and postpartum recovery plans. Flexibility in scheduling and even home visits are common in this model, providing convenience and reducing stress for clients.

    • Traditional OB Care: In traditional OB care, care plans are generally standardized based on medical protocols and guidelines. While OBs will listen to and respect your preferences, the structure of the care is typically more rigid, with less opportunity for customization or extended discussions. Scheduling flexibility may also be limited due to the busy nature of the practice.

    6. Emotional and Holistic Support

    • Concierge Midwifery: Emotional and holistic support is a cornerstone of concierge midwifery. Midwives take the time to listen to your concerns, answer all questions thoroughly, and provide guidance on not just physical but emotional and psychological aspects of pregnancy, birth, and postpartum. This model encourages empowerment, informed decision-making, and a more individualized care experience.

    • Traditional OB Care: Traditional OB care is focused more on clinical and medical management. While emotional support may be offered, the shorter visits and more medicalized approach often leave less room for exploring holistic and emotional aspects of care.

    Concierge midwifery for planned hospital births offers a highly personalized, continuous care experience that integrates the best of holistic midwifery with the safety of hospital-based medicine. In contrast, traditional OB care focuses on the medical management of pregnancy and birth, often with shorter, less personalized visits. Families choosing concierge midwifery receive a tailored care package, integration with hospital providers, and the option for birth support, providing a more comprehensive and intimate approach to care than the traditional model allows.

  • Benefits include personalized care tailored to your needs, enhanced emotional and physical support, the use of holistic health practices, and comprehensive postpartum care. This approach helps manage pregnancy and postpartum issues while maintaining the safety and resources of a hospital birth.

    • Comprehensive Support: Gain comprehensive support that addresses both your emotional and medical needs.

    • Personalized Care: Receive personalized, one-on-one care.

    • Expert Monitoring: Benefit from the clinical expertise of a licensed midwife who can perform medical assessments.

    • Seamless Transition: Enjoy a seamless transition from home to hospital with continuous support from your care team.

    In-Home Postpartum Benefits Include:

    • Increase Oxytocin: Enhances bonding and emotional well-being.

    • Minimize Exposure: Reduces the risk of infection and germs.

    • Promotes Better Sleep: Less interruption leads to better rest and healing.

    • Prolonged Skin-to-Skin: Encourages bonding and helps with feeding.

    • Support for Feeding: Reduces stress-related delays in milk production.

    • Holistic Healing: Supports the physical and emotional recovery during the fourth trimester.

    • Consistent Feeding and Sleep Schedules: Facilitates feeding on demand and uninterrupted sleep.

  • We do not. We do offer monitrice and doula services, but we do not have medical privileges in the hospital setting.